Page 38 - World Journal of Laparoscopic Surgery

An Improved Bipolar Cautery with Scissors for Laparoscopic Surgery with Additional Feature

forceps with scissors have benift over other forms of bipolar 4. Olguner M, Akgur FM, Ucar B, Aktug T. Laparoscopic
coagulation because goagulated tissue is divided without appendectomy in children performed using single endoscopic
GIA stapler for both mesoappendix and base of appendix.
instrument changing saving the time by almost 50%. The
J Paediatric Surg 1998;33:1347-49 (Medicine).
other indirect advantages are as follows: 5. Clinical experience with bipolar multifunctional coagulation
1. Less manipulation of instrument, thus less stress to scissors in laparoscopic surgery. J P Eitenmuller. E Volckmann.
surgeon and assistant. 5 Surg Endosc 2008;22:421-25.
6. Energy sourses in Laparoscopy: Andrew G Harrell, Kent W
2. Presise and guarded cutting (which it is not in bipolar Kercher and B Todd Heniford. Surgical Innovation, Sep.
cautery with sliding or monpolar blade in between the 2004;11:201-09.
jaws). 7. Spivak H, Richarson WS, Hunter JG. The use of bipolar cautery,
laproscopic coagulating shears and vascular clips for haemostasis
3. Less amount of CO utilised as gas is leaked.
2 of small and medium sized vessels. Surg Endosc 1998;12:
4. No sticking of tissue or charring of scissors as in case 183-85.
of roboscissors and in caseof bipolar coagulation multi- 8. Laparoscopic appendectomy without clip or ligature.
5
functional instrument and its maintenance. No need of An experimental study. Adnan Asid, Cagdas Karqueli and Ozlem
Especk. Surg Endosc, Sept 2008;22(9).
frequent cleaning.
9. Heniford BT, Mathews BD, Sing RF, Bacus C, Pratt B, Greene
5. Cost benift as durable, cheap, less maintenance. FL. Initial results with an electrothermal bipolar vessel sealer.
6. Reusable and can be autoclavable. Surg Endosco 2001;15:799-801.
7. Doesent requires costly ESU/Ultrasonic device 10. Soderstrom RM. Electrosurgical injuries during laparoscopy:
Prevention and management. Curr Opin Obstet Gynecol
8. Safer than monpolar cautery (No remote injury, direct
1994;6:248-50.
coupling, insulation failure, capactive coupling and 11. Avishalor Saron, Ron Auvlader, Orly Brandes Klein, Zui Alter,
minimum lateral tissue damage. 2,10 Yural Kaufman and Aric Lissank. Cystscopy after total/subyotal
Laparoscopic Hystrectomy; Gyneclogical Surg 2006;3(2).
12. Christopher Cher Men Ng and Bernad Su Min. Total
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